Efficacy of interventions targeting alcohol, drug and smoking behaviors in university and college students: A review of randomized controlled trials

J Am Coll Health. 2019 Jan;67(1):68-84. doi: 10.1080/07448481.2018.1462821. Epub 2018 May 31.

Abstract

Objective: To evaluate the effectiveness of interventions targeting alcohol consumption, drug use and smoking for college/university students.

Participants: College/University students.

Methods: Studies were eligible if: (1)included students attending universities/colleges; (2)implemented in a university/college setting; (3)aimed to improve at least one of the following behaviors: alcohol and/or drug use and/or smoking; (4)were RCTs. The effect of the interventions on behaviors was determined by the percentage of studies that reported an effect. Due to the heterogeneity of outcomes meta-analysis was not conducted.

Results: 88 studies met criteria. University-based interventions were effective for reducing alcohol-related outcomes (drinking patterns, BAC, consequences, problem drinking). Inconsistent findings for drug and smoking were observed.

Conclusions: University-based interventions have the potential to improve health for students. While there is a breadth of research examining the efficacy of interventions to reduce alcohol consumption, further research is needed to determine the best approach for addressing smoking and drug use among students.

Keywords: Alcohol; University; college; other drugs; smoking; student.

Publication types

  • Review

MeSH terms

  • Adult
  • Alcohol Drinking / psychology*
  • Alcohol Drinking / therapy*
  • Female
  • Health Behavior
  • Humans
  • Male
  • Randomized Controlled Trials as Topic
  • Smoking / psychology*
  • Smoking / therapy*
  • Students / psychology*
  • Substance-Related Disorders / psychology*
  • Substance-Related Disorders / therapy*
  • Universities
  • Young Adult